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Abstract Swelling, pain and limitation of mouth opening are included in postoperative morbidity of surgical removal of third molar, and have great evidence to occur. Several methods are used to alleviate these complications; one of these methods is Cryotherpay. Hilotherapy is an innovative form of cryotherapy and the basic principle behind the technology is the closed system which the water, having precision-controlled temperature, flows through a purpose designed mask. The present work aims to assess the efficiency of the Hilotherapy in comparison to the conventional cooling. A controlled randomized clinical trial conducted on 16 patients, the control group treated by conventional Ice cooling and the test group treated by water-circulating external cooling device called Hilotherm®. Assessment to the facial swelling,pain and trismus performed. Statistically significant down regulation of swelling could be achieved with the Hilotherm cooling device compared with conventional cooling therapy by both means of measuring. The pain was significant down regulated by Hilotherapy compared with conventional cooling (Hilotherm5.75 ± 1.04and conventional 8.0 ± 0.76, P ≤0.05).The mouth opening was significantly greater in the Hilotherapy group than in the conventional cooling group (Hilotherm 3.13 ± 0.18 and conventional 2.38 ± 0.33, P ≤0.05). The Hilotherm cooling device reduces postoperative swelling, pain and duration of post-operative complications compared with conventional cooling. |